Individual provider Active NPI

Alisha Marie Courtney, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1457081408
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
257903 Issued in AZ
Practice address
6470 S Higley Rd
Gilbert, AZ 85298-4341
Phone
(480) 809-2498
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 275903 AZ
Family Nurse Practitioner 363LF0000X 257903 AZ Primary

Addresses

Primary practice location

6470 S Higley Rd
Gilbert, AZ 85298-4341

Mailing address

6470 S Higley Rd
Gilbert, AZ 85298-4341
Phone (808) 092-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221119000082 AZ Practitioner - Nurse Practitioner 9133597354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Canyon Family Medicine PCGroup PAC ID 5294839940, 4 clinicians

Practice addresses (Care Compare)

3960 E Riggs Rd
Suite 1
Chandler, AZ 85249-5411
Phone 4807864441407

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
69.93
Promoting interoperability
100
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
275903AZMDFamily Medicine Physician
257903AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Canyon Family Medicine PC Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
Foot Ankle Specialty Centers, LLC PastSince Sep 23, 2024 Accepting new patients

Locations

3950 E Riggs Rd
Ste 2
Chandler, AZ 85249
Phone (480) 786-4441

3960 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone 4807864441 ext. 403

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1457081408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984341",
            "telephone_number": "808-092-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984341",
            "telephone_number": "480-809-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "ALISHA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "275903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "257903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.